Psychosomatic Approach to the Menstruation-related Symptoms(<Special Issue>Clinical Management in Female Psychosomatic Disorders)

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  • 月経随伴症状に対する心身医学的対応(<特集>女性をめぐる心身医学)
  • 月経随伴症状に対する心身医学的対応
  • ゲッケイ ズイハン ショウジョウ ニ タイスル シンシン イガクテキ タイオウ

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Dysmenorrhea and premenstrual syndrome are reviewed from the gynecological and psychosomatic point of view. Concerning dysmenorrhea, appropriate information about self-medication of menstrual pain is important and patients should be encouraged to become responsible for their own menstrual experience through the psychosomatic approach. In the patients whose pain is coming from organic diseases including endometriosis, fibroma, and any other conditions, the effects of these conditions on their lifecycle should be considered. If a sexual traumatic experience is present, a supportive approach with particular consideration is necessary. As for premenstrual syndrome, making correct diagnosis with prospective dairy rating is the first priority. Moreover, on the premise that this syndrome is a biopsychosocial condition, the treatment should include not only medical treatment but also intervention in psychological and behavioral problems.

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